Provider Demographics
NPI:1750197935
Name:ATUN, ADRIAN FERRER (PT)
Entity type:Individual
Prefix:
First Name:ADRIAN
Middle Name:FERRER
Last Name:ATUN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1026 CASTILIAN CT APT 101
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-2456
Mailing Address - Country:US
Mailing Address - Phone:224-532-0582
Mailing Address - Fax:
Practice Address - Street 1:1026 CASTILIAN CT
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60025-2473
Practice Address - Country:US
Practice Address - Phone:224-532-0582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.028765225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist